Active NPI
Raul Emmanuel Axtmayer Carcache, DC
- Chiropractor
- Tampa, FL
National Provider Identifier
1083375117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13838
- Practice address
- 3450 E Fletcher Ave Ste 320
Tampa, FL 33613-4659 - Phone
- (813) 668-0000
- NPI assigned
- Dec 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13838 | FL | Primary |
Addresses
Primary practice location
3450 E Fletcher Ave Ste 320
Tampa, FL 33613-4659
Mailing address
3450 E Fletcher Ave Ste 320
Tampa, FL 33613-4659
Phone (813) 668-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13838 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Physical Medicine of North Tampa LLC | Chiropractor | Current | Accepting new patients |
Locations
3450 E Fletcher Ave
Ste 320
Tampa, FL 33613
Phone (813) 668-0000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Tampa, FL
- NPI 1831806561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1083375117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 E FLETCHER AVE STE 320",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134659",
"telephone_number": "813-668-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 E FLETCHER AVE STE 320",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134659",
"telephone_number": "813-668-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXTMAYER CARCACHE",
"first_name": "RAUL",
"middle_name": "EMMANUEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-30",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.